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CITY OF TIGARD - SITE PLAN REVIEW
BUILDING PERMIT NO.: 5 ,2004 ii 05
PLANNING DIVISION:
Required Setbacks: Er-Approved v
l�_ 0 Nol i ■ppro ,
' Side S Street SiSide Front. G . t c _ Rea I ._ .
Visual Clearance: 0"Appr ved iJ Not Ap!n • ..i1
'.Maximum Building Height feet
. CWS Service Provider Letter Required: ❑ Yes Q No
❑ R ceived
B.) : Date: (or[3 /D
E NGI
NEE DEPARTMENT:
Actual Slo : % 1� Approved ❑ Not Approved
Site Plan: Wg-Approved o App roved
By: 4 Date: - 1 06 S
Notes: SA-€62_ Sst v
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